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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What are your child(rens) names?

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* 4. At what email address would you like to be contacted?

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* 5. At what phone number would you like to be contacted?

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* 6. How satisfied are you with you/your child(ren)’s online lessons at HBMS?

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* 7. How satisfied are you with you/your child(ren)’s online classes/clubs/ensembles at HBMS?

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* 8. How satisfied are you with the School’s communications about our transition to online instruction?

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* 9. Please provide use the space below to provide detail around concerns you may have, to ask questions, or to make a suggestion.

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* 10. Do you wish to be contacted by the School? (if yes, please be certain to provide your contact information above)

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